Outcomes in patients requiring cardioversion following catheter ablation of atrial fibrillation

Karuna Chilukuri, Jonathan Dukes, Darshan Dalal, Joseph E. Marine, Charles A. Henrikson, Daniel Scherr, Sunil Sinha, Ronald Berger, Alan Cheng, Saman Nazarian, David Spragg, Hugh Calkins

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    14 Scopus citations

    Abstract

    Introduction: Early recurrence of atrial tachyarrhythmias is commonly noted after catheter ablation of atrial fibrillation (AF). The long-term outcomes of patients who require cardioversion for persistent AF after AF ablation is not known. This study reports the outcomes of patients who underwent cardioversion for persistent AF or atrial flutter following an AF ablation procedure. Methods: The patient population comprised 55 patients (mean age 58 ± 10 years, 35% paroxysmal) who underwent catheter ablation of AF and subsequently required electrical cardioversion for persistent AF (45 patients) or atrial flutter (10 patients). Cardioversion was defined as early (within 90 days of the ablation procedure) or late (between 90 and 180 days following ablation). Results: The mean follow-up duration was 15 ± 8 months. Forty-six of the 55 patients (84%) patients experienced recurrence during follow-up. The average time to recurrence after cardioversion was 37 days. Of the 55 patients, 8 (15%) patients had a complete success, 11 (20%) patients had a partial success and 36 patients (65%) had a failed outcome. Seven of the 43 patients (16%) who underwent early cardioversion had a complete success as opposed to one of 12 patients (8%) who underwent late cardioversion (P = 0.49). Conclusions: This study shows that >80% of patients who undergo cardioversion for persistent AF or atrial flutter after AF ablation have recurrence. The timing of cardioversion did not affect the outcome. These findings allow clinicians to provide realistic expectations to patients regarding the long-term outcome and/or requirement for a second ablation procedure.

    Original languageEnglish (US)
    Pages (from-to)27-32
    Number of pages6
    JournalJournal of cardiovascular electrophysiology
    Volume21
    Issue number1
    DOIs
    StatePublished - Jan 2010

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    Keywords

    • Atrial fibrillation
    • Atrial flutter
    • Cardioversion
    • Catheter ablation

    ASJC Scopus subject areas

    • Cardiology and Cardiovascular Medicine
    • Physiology (medical)

    Cite this

    Chilukuri, K., Dukes, J., Dalal, D., Marine, J. E., Henrikson, C. A., Scherr, D., Sinha, S., Berger, R., Cheng, A., Nazarian, S., Spragg, D., & Calkins, H. (2010). Outcomes in patients requiring cardioversion following catheter ablation of atrial fibrillation. Journal of cardiovascular electrophysiology, 21(1), 27-32. https://doi.org/10.1111/j.1540-8167.2009.01593.x